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APPLICATIQN FOR ELECTRICAL �RMIT,�� <br /> everett <br /> WILDING DEPAFlTMENT159-8810 <br /> mGto '4omEs uc i89i3 0a,/ �ior- �vu [301, y�a�2 <br /> hnner mai Address 1. ty p one <br /> Tenant Tai I Address— city Zip 'hone <br /> ,39(/ 3 y <br /> I�1LL1, %,. 'Y�vos /03 d Qvc SF _ uFrCcIT L�/^ gfzoS �2ol�s�r�t-iie�D <br /> ectrl Ca Lontraotor 11ai�Tiddress 6�ty �p—T :onR c cense 0 <br /> co <br /> nrre-srDO. .�Dronpose f Mit ingContract Price oWork <br /> �roJect ddress <br /> Disc Iptlon of Ylnrk c onr.: <br /> MOTE: 'RAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLAITS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> MOTE: 'WIRING 111 NON-DWELL ITICS IS REQUIRED TO BE IN METAL RACEWAYS. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND OROINANCES GOVERNING 11115 TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> 01 HER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY TI4E >�O <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 10.27 RCW AND 296.200 WAC. <br /> 49'a <br /> ture Datc <br />